Cadasil, Migraine and Multiple Sclerosis (MS)-The
Risk of Misdiagnosis, Case Report
Volume 2 - Issue 5
Piotr Bogucki1*, Paulina Felczak, Teresa Wierzba-Bobrowicz²,Halina Sienkiewicz-Jarosz and Urszula Fiszer¹
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- 1Synapsa Piotr Bogucki, ul. Barona 22F/5, 43-100, Tychy, Poland
- 2MedGen Medical Centre, Orzycka 27, 02-695, Warszawa, Poland
*Corresponding author:
Piotr Bogucki, Synapsa Piotr Bogucki, ul. Barona 22F/5, 43-100, Tychy, Poland
Received: June 26, 2018; Published: July 13, 2018
DOI: 10.32474/MADOHC.2018.02.000148
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Abstract
Diagnostic criteria for multiple sclerosis (MS) have been
changing for years to enable easier and faster ways to confirm
diagnosis especially during last decade. They lead to earlier
treatment of patients with MS what gives higher likelihood to keep
patients fit and capable of working. Dissemination in time (DIT) and
in space (DIS) are general rules which are necessary to diagnose
MS what was maintained in all diagnostic criteria, which have been
published up till now[1]. Current criteria were published in 2017
and enable diagnosing MS even in patients, who earlier could not
have MS diagnosed. This results from the facts that CSF oligoclonal
bands present in patients with DIS without DIT are enough to MS
diagnose[2]. Cerebral Autosomal Dominant Arteriopathy with
Subcortical Infarcts and Leucoencephalopathy (CADASIL) is a
disease of small vessels related to gene NOTCH3 mutations leading
to symptoms of migraine with aura, recurrent ischaemic incidences,
cognitive impairment and behavioural disturbance.
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Case report|
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